| Southern Medical Clinics, Llc | |
|
2384 Blue Springs Rd Se Cleveland TN 37311-0909 | |
| (423) 728-1845 | |
| (423) 728-1925 |
| Full Name | Southern Medical Clinics, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2384 Blue Springs Rd Se, Cleveland, Tennessee |
| Authorized Official Name and Position | Debra Lynn Chin (OFFICE MANAGER) |
| Authorized Official Contact | 4237281845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Clinics, Llc Po Box 2515 Cleveland TN 37320-2515 Ph: (423) 728-1845 | Southern Medical Clinics, Llc 2384 Blue Springs Rd Se Cleveland TN 37311-0909 Ph: (423) 728-1845 |
| NPI Number | 1508824749 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508824749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD31732 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | PA753 (Tennessee) | Secondary |
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